Rn vati adult medical surgical 2023

RN VATI Adult Medical SurgicalLATESTWIT v v v v v v




H
QUESTIONS AND ANSWERS GRADED A+
Q v v v v v v v v v v v v v v v v vv v v v v v v
u e s ti o n 9 0 lo a d ed r a ti o na ls p r o v id e d
v v v v




Question:
Avnursevisvcaringvforvavclientvwhovhasvatopicvdermatitisvandvavprescriptionvforvtriamcinolonevo
intment.vThevnursevshouldvassessvthevclientvtovmonitorvforvwhichvofvthevfollowingvadverseveff
ects?




Increasedvpigmentation

Topicalvglucocorticoidvtherapyvcanvcausevthevadverseveffectvofvhypopigmentation.v

Localizedvhairvloss

Long-
termvglucocorticoidvtherapyvcanvcausevhypertrichosis,vorvexcessivevhairvgrowth,vespeciallyvonvthev
facialvarea.

Thinningvofvthevskin
MY v v ANSW E R

, Thinningvofvthevskinvandvdelayedvhealingvarevadverseveffectsvofvtopicalvglucocorticoidvpreparations
.vThevclientvshouldvonlyvapplyvthevointmentvtovdryvpatchesvofvthevskinvbecausevtopicalvsteroidsvcanvc
ausevatrophyvofvthevdermisvandvepidermis,vwhichvcanvresultvinvthinningvofvthevskin.vIncreasedvsensi
tivityvtovthevsun


Thevnursevshouldvinstructvthevclientvtovavoidvexcessivevsunvexposurevwhenvtakingvtopicalvfl
uticasone;vhowever,vtriamcinolonevointmentvdoesvnotvcausevphotosensitivity.


•
RNvVATIvAdultvMedicalvSurgicalv2019
CLOSE
Qu v vv vvv
e s tio n 8 9 Question: lo vv vv v vv v v v vvv v v vvvvvvvvvvvvvvvvvvvv
a d e d r a tio n a ls p r o v id e d 89 of 90
v v




CORRECT
• TimevRemaining:v00:37:45
• PausevRemaining:v00:05:00
PAUSE
FLAG
Avnursevisvassessingvavclientvwhovhasvleft-
sidedvheartvfailure.vWhichvofvthevfollowingvfindingsvshouldvthevnursevidentifyvasvavmanifestationv
ofvleft-sidedvheartvfailure?




Dependentvedema

Thevnursevshouldvidentifyvthatvdependentvedemavisvavmanifestationvofvright-
sidedvheartvfailurevduevtovrightvventricularvfailurevandvfluidvretentionvfromvpressurevbuildingvupvinvth
evvenousvsystem.

Jugularvdistention

Thevnursevshouldvidentifyvthatvjugularvveinvdistentionvisvavmanifestationvofvright-
sidedvheartvfailurevduevtovrightvventricularvfailurevandvfluidvretentionvfromvpressurevbuildingvupvinvt
hevvenousvsystem.

Weightvgain

Thevnursevshouldvidentifyvthatvweightvgainvisvavmanifestationvofvright-
sidedvheartvfailurevduevtovrightvventricularvfailurevandvfluidvretentionvfromvpressurevbuildingvupvi
nvthevvenousvsystem.

, Frothyvsputum v ANSWE R




Thevnursevshouldvidentifyvthatvfrothyvsputum,vdyspnea,vandvwheezingvarevmanifestationsvofvleft-
vsidedvheartvfailure.vTreatmentvincludesvfluidvrestrictionvandvdiureticsvtovdecreasevpreloadvandvred


ucevpulmonaryvcongestion.vPink-
tingedvfrothyvsputumvcanvbevanvearlyvindicationvofvpulmonaryvedemavandvcanvbevlife-
threatening.vTherefore,vthevnursevshouldvnotifyvthevprovidervimmediately.



•
RNvVATIvAdultvMedicalvSurgicalv2019
CLOSE
Qu v vv vvv
e s tio n 8 8 Question: lo vv vv v vv v v v vvv v v vvvvvvvvvvvvvvvvvvvv
a d e d r a tio n a ls p r o v id e d 88 of 90
v v




CORRECT
• TimevRemaining:v00:37:30
• PausevRemaining:v00:05:00
PAUSE
FLAG
Avnursevisvcaringvforvavclientvwhovisvexperiencingvanxietyvasvwellvasvnumbnessvandvtinglingvofvthevli
psvandvfingers.vThevclient'svABGsvare:vpHv7.48,vPCO2vv30vmmvHg,vHCO3-
vv
24vmEq/L,vPaO2vv85vmmvHg.vWhichvofvthevfollowingvacid-
basevimbalancesvshouldvthevnursevidentifyvthatvthevclientvisvexperiencing?

, Respiratoryvalkalosis




ThisvpHvisvalkalinev(increased)vandvthevPCO vvvisvdecreased,vrepresentingvalveolarvhyperventilationvan 2


dvresultantvrespiratoryvalkalosis.
Respiratoryvacidosis
ThisvpHvisvalkalinev(increased)vandvthevPCO vvvisvdecreased.vAvdecreasedvpHvandvanvincreasedv 2


PCO vvvindicatevrespiratoryvacidosis.
2



Metabolicvalkalosis
ThisvHCO 3
-


vvv24vmEq/Lvisvwithinvthevexpectedvrangevofv21vtov28vmEq/LvandvthevpHvisvalkalinev(increased).



vAnvincreasedvpHvandvHCO indicatevmetabolicvalkalosis.
vvv -
3



Metabolicvacidosis
ThisvHCO 3
-


vvv
24vmEq/Lvisvwithinvthevexpectedvrangevofv21vtov28vmEq/LvandvthevpHvisvalkalinev(increased).
vAvdecreasedv pHvandvHCO indicatevmetabolicvacidosis.
vvv -
3




•
RNvVATIvAdultvMedicalvSurgicalv2019
CLOSE
Qu v vv vvv
e s tio n 8 7 Question: lo vv vv v vv v v v vvv v v vvvvvvvvvvvvvvvvvvvv
a d e d r a tio n a ls p r o v id e d 87 of 90
v v




CORRECT
• TimevRemaining:v00:37:22